MS. SANDRIA R NIXON (DR. FNP) – Nurse Practitioner, NPI 1104817733
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. SANDRIA R NIXON (DR. FNP)
2725 Airview Blvd Ste 105
Portage, MI 490021804
Phone: (269) 349-8386
Fax: (269) 349-8397
Type: Location
211, North Eddy Street, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466173096
Phone: (574) 237-9331
Fax: (574) 237-9252
Type: Mailing
5838 W Brick Rd Ste 106
South Bend, IN 466288420
Phone: (574) 247-1911
Fax: (574) 247-1912
Type: Location
500 KIRTS BLVD STE 100
TROY, MI 480844135
Phone: (484) 346-1692
Fax: (855) 618-6655
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Dexcom, Inc. ($18).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $18 |
| ABBVIE INC. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041004000697 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Clinical Psychologist | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL |
Reviews
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